11/29/2007 @ 6:00PM

In Pictures: America's Vainest Cities

6. (Tie) Nashville, Tenn.

Dr. R. Bruce Shack, professor and chairman of the department of Plastic Surgery at the Vanderbilt University Medical Center, says the number of surgeons in Nashville–at least 48–may have outpaced population growth. Per 100,000 people, there are 4.4 plastic surgeons. He attributes the trend to demographic changes, which have brought younger, more affluent professionals to Nashville. Shack has also noticed a rise in cosmetic procedures due to body contouring after significant weight loss or bariatric surgery. Interestingly, Nashville also ranked seventh on our Most Obese Cities list.